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Proximal Humeral FractureReplPHFNCT06537024

Replication Study to Analyze the Surgical Treatment of Proximal Humeral Fracture

An observational study of Proximal Humeral Fracture, run by University Hospital Muenster.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The study at hand aimed to analyze the replicability of the observed treatment effects in these studies published by Koeppe et al. and Stolberg-Stolberg et al. Read more about this study

Who is it for?
Ages 65 years and older
Conditions the study is for
Proximal Humeral Fracture
What is being tested?
RTSA
Type of treatment
Surgery or procedure
How many people
32,953 participants
Where
No sites listed yet
Study dates
1 Jan 2011to 31 Dec 2022
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 65 years and older
  • All sexes
  • No healthy volunteers
  • Older adult

Study population: Patients were grouped into two treatment groups: LPF (reference group) or RTSA depending on which therapy was performed first. If RTSA and LPF were coded at the same day, patients were assigned to RTSA group. Two different analysis sets were defined as follows: * Short-term set: including all patients. * Long-term set: including all patients, which were discharged alive and had an index surgery before 2022 (to guarantee a possible follow-up time of a least one year).

Who may be able to join

  • all patients will be included, who had an inpatient coded treatment using LPF or RTSA

Who cannot join

  • Incomplete insurance status within two years before index
  • Incomplete basic information
  • Age<65 years
  • Missing diagnosis of PHF (ICD: S42.2) within two years before surgery
  • Previous surgical treatment (RTSA, LPF or other fracture fixation)
  • Coded polytrauma
Show all 9Show fewer
  • Bone tumors/ bone metastasis
  • Both sides or missing information of surgery side
  • COVID-19 infection during index hospitalization

About this study

The study at hand aimed to analyze the replicability of the observed treatment effects in these studies published by Koeppe et al. and Stolberg-Stolberg et al.

Read the detailed description

see Protocol

Being tested
RTSA
Medical subject headings
Shoulder Fractures

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • RTSAProcedure or surgery

Study groups in NCT06537024
Study groupRoleWhat they receive
LPFpatients treated with locked plate fixation
RTSAreverse total shoulder arthroplasty
Receives: Procedure: RTSA

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. 30-day mortality

    Death from any cause during the first 30-days after surgery.

    Measured: 30 days

  2. Overall survival (OS)

    Time from discharge of index hospitalization to death of any case.

    Measured: up to 12 years

  3. Major adverse events during index case

    See above, only events during hospitalization

    Measured: through hospital stay, an average of 16 days

  4. Major adverse events after discharge

    Time from discharge of index hospitalization to MAE as defined above

    Measured: up to 12 years

  5. Thromboembolic events during index

    See above, only events during hospitalization

    Measured: through hospital stay, an average of 16 days

  6. Thromboembolic events (or death) after discharge

    Time from discharge of index hospitalization to a thromboembolic event or death of any case.

    Measured: up to 12 years

  7. Surgical complications during index case

    See above, only events during hospitalization

    Measured: through hospital stay, an average of 16 days

  8. Surgical complications after discharge

    Time from discharge of index hospitalization to surgical complications, with death being considered as a competing risk event.

    Measured: up to 12 years

Secondary outcomes (3)
  1. Implant-associated complication during index

    See above, only events during hospitalization

    Measured: through hospital stay, an average of 16 days

  2. Non-Implant-associated complication during index

    See above, only events during hospitalization

    Measured: through hospital stay, an average of 16 days

  3. Minor outpatient complications after discharge

    Time from discharge of index hospitalization to minor outpatient complications, with death being considered as a competing risk event.

    Measured: up to 12 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Aug 2024
  2. Study start1 Jan 2011
  3. Primary completion30 Sep 2022
  4. Study completion31 Dec 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Retrospective
Enrolment
32,953 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06537024
Sponsor's protocol ID
Replication PHF
Acronym
ReplPHF
Status last verified
Jul 2024
First submitted
3 Jul 2024
Last updated
5 Aug 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Koeppe J, Fischhuber K, Stolberg-Stolberg J, Marschall U, Raschke MJ, Faldum A, Katthagen JC. The replicability of real-world evidence for the surgical treatment of proximal humeral fractures in older patients evaluated using sceptical p-value. Sci Rep. 2026 Sep 8;16(1):28068. doi: 10.1038/s41598-026-70157-6.

    PubMed 42711453

Questions about this trial

What is this clinical trial studying?

An observational study of Proximal Humeral Fracture, run by University Hospital Muenster.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 5 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

30-day mortality (time frame: 30 days). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06537024, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Aug 2024.

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